Individual
BRENDA K SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
4301 WILSON ST, ENT CLINIC, FORT SILL, OK 73503-4472
(580) 558-2453
(580) 558-2427
Mailing address
4301 WILSON ST, ENT CLINIC, FORT SILL, OK 73503-4472
(580) 558-2453
(580) 558-2427
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0033710
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048660 A
—
OK
Enumeration date
06/01/2005
Last updated
08/16/2011
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